Healthcare Provider Details

I. General information

NPI: 1588604284
Provider Name (Legal Business Name): DEBORAH ANN DRUMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE INDIAN HILL RD
WINTERHAVEN CA
92283
US

IV. Provider business mailing address

PO BOX 1368
YUMA AZ
85366-1368
US

V. Phone/Fax

Practice location:
  • Phone: 760-572-4227
  • Fax: 760-572-4230
Mailing address:
  • Phone: 760-572-4227
  • Fax: 760-572-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1044-029
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: